伴有或不伴有分流术的成人特发性交通性脑积水
Adult idiopathic communicating hydrocephalus with and without shunting.
作者信息
Hughes C P, Siegel B A, Coxe W S, Gado M H, Grubb R L, Coleman R E, Berg L
出版信息
J Neurol Neurosurg Psychiatry. 1978 Nov;41(11):961-71. doi: 10.1136/jnnp.41.11.961.
Abstract
The outcome in 37 adult patients with idiopathic communicating hydrocephalus treated by ventriculoatrial shunting is presented. Only 33% showed definite improvement, and no diagnostic procedures accurately predicted the outcome of surgery. These were compared with a "control" group of 12 patients who were not shunted; 50% of these were stable for up to 36 months. These findings, and the high frequency of serious complications (35%), suggest caution in recommending a shunt procedure.
摘要
本文介绍了37例接受脑室-心房分流术治疗的特发性交通性脑积水成年患者的治疗结果。只有33%的患者显示出明显改善，且没有任何诊断程序能准确预测手术结果。将这些患者与12例未接受分流术的“对照”组患者进行比较；其中50%的患者病情稳定长达36个月。这些发现以及严重并发症的高发生率（35%）表明，在推荐分流手术时应谨慎。
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